Laserfiche WebLink
1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CECAR STREET, EVERETT, WA 98201 <br /> 425-257•8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> �07 ��_��,���.�a ��— <br /> PROJECTADDRESS <br /> OWnef Idail Acdres, Ci'y 5!ate':�p Phone <br /> '�as 3s3- <br /> S�+.� � le„�n �No�y — 567 w C�s�No R� ���+ W� 9�aoy �3d7 <br /> Ten�nt Ida�i Ar.dress Gly Siaie2�p Pho�e <br /> Po,��� E���s�,�. �3�� �, r� eo,.� w� 9z�-?�. 360 �s�-,3�0 <br /> EICCU�cal Conlraclor G�a�l Atldress CAy S,ale'I.�p Phono <br /> zN�Fr �y� � � $5 �9. 0� <br /> 5!a�n L�cense Nv�+ber Contract Price ol VJork <br /> ProDosed Use ul Build�n7 Contact Person (Plan Rev�ew� <br /> Descr�ptionolWorkloBeDone� RCp'0.C-e �IC� S�U_ r�Q¢ �Y1GC�1�A� W/� �eMJ <br /> T <br /> NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN Rl10EWAYS, MC OR AC CABLE. <br /> �9 �� <br /> CITY OF EVERETT LOCAL SALES TA7(CODE IS 3105 <br /> 1 hereby certily fhat 1 have rpad and erammod fh�s opplrcahon and know fhe same �o bc liue and L / '(D � r ' O� <br /> correcf. Ail prvvisions ollaws an�ordmancos govemmg tPis fypo o/wo�k w�il be compie�ed G �-( <br /> whelher spec�Ged he2in o�nol. The granfmg ol a permrt docs notp resume fo give aulhonty to <br /> violafe or cancr;fM10 provrsions ol any olher sfafe orlocal law rogu/,iting cons(rucfion or fbe <br /> peAortnance,/conshu lion. That I am aufhonre0 Dy Ihe ownor ol fhis proparty fo pedomr Ihe <br /> work!or which appli n is made and 1 t�mply wifh the Stafe Conf�acfors Law 18.27 RCW end <br /> 796100 WA� <br /> � �—�,� � / �t <br /> , , o oa�o <br />